0001013594-19-000667.txt : 20191031 0001013594-19-000667.hdr.sgml : 20191031 20191031154515 ACCESSION NUMBER: 0001013594-19-000667 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) ITEM INFORMATION: Section 3(c)(5) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20191031 DATE AS OF CHANGE: 20191031 EFFECTIVENESS DATE: 20191031 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomfield Capital Income Fund V, LLC CENTRAL INDEX KEY: 0001757203 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-324780 FILM NUMBER: 191183547 BUSINESS ADDRESS: STREET 1: 280 N. OLD WOODWARD AVENUE STREET 2: SUITE 104 CITY: BIRMINGHAM STATE: MI ZIP: 48009 BUSINESS PHONE: 2487451700 MAIL ADDRESS: STREET 1: 280 N. OLD WOODWARD AVENUE STREET 2: SUITE 104 CITY: BIRMINGHAM STATE: MI ZIP: 48009 D/A 1 primary_doc.xml X0708 D/A LIVE 0001757203 Bloomfield Capital Income Fund V, LLC 280 N. OLD WOODWARD AVENUE SUITE 104 BIRMINGHAM MI MICHIGAN 48009 2487451700 DELAWARE None None Limited Liability Company true 2018 Nicholas S Coburn 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Mr. Coburn is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Jason F Jarjosa 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Mr. Jarjosa is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Renee Lewis 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Ms. Lewis is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Brent K Truscott 280 N. Old Woodward Avenue Suite 104 Birmingham MI MICHIGAN 48009 Executive Officer Mr. Truscott is a principal of Bloomfield Capital Partners V, LLC, the Managing Member of the Issuer. Pooled Investment Fund Private Equity Fund false Not Applicable 06b 3C 3C.1 3C.5 3C.7 true 0001013594-18-000641 2018-11-16 true true true false 1000000 Indefinite 81660333 Indefinite false 24 0 0 0 true The Managing Member receives a management fee, payable quarterly, equal to a specified percentage of capital contributions to the Issuer or the Issuer's net asset value as applicable for each investor. false Bloomfield Capital Income Fund V, LLC /s/ Jason F. Jarjosa Jason F. Jarjosa Principal of the Managing Member 2019-10-31